Quit Smoking Clinic: Factors Associated with Successful Quit Smoking in Besut District, Terengganu State of Malaysia

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  •   Nur Raihan Ismail

  •   Hafizuddin Awang

  •   Nurul Jannah A Rahman

  •   Arfizah Ahmad Daud

  •   Mohd Fariz Zulrushdi

  •   Azmi Zainuddin

  •   Mohd Anuar Abd Rahman

  •   Kasemani Embong

Abstract

Background: Malaysian National Health and Morbidity Survey 2019 illustrated the prevalence of current smoker was 21.3%. Out of current smokers, only about half of them made an attempt to quit smoking in the past 12 months and only 7.4% of the smokers had visited a healthcare provider for quit smoking advice. The “Quit Smoking Clinic” was established in Malaysia since 2000 to make smoking cessation service accessible for everyone. This study aims to determine the factors associated with successful quit smoking among smokers attending “Quit Smoking Clinic” in Besut District, Malaysia.


Methods: A district-wide record review study using “Quit Smoking Clinic” record [BPKK/KBM(PKD)/3/2012 Amendment 2018] from seven health clinics was conducted. A logistic regression (LR) model was performed to assess the factors influencing successful quit smoking status. A success quit smoking status was defined as remaining abstinent from smoking behavior at six months of clinic follow-up.


Result: A sample of 414 clients from seven health clinics in Besut were included, 14.3% of them had a success quit smoking status. In the final MLR model, factors influencing successful quit smoking were older age group 45 years old and above (Adj. OR 2.27; 95% CI: 1.22, 4.22, p-value=0.010), voluntary participation in the clinic (Adj. OR 1.86; 95% CI: 1.00, 3.45, p-value=0.049) and frequent visits to the clinic (Adj. OR 5.33; 95% CI: 2.88, 9.86, p-value<0.001).


Conclusion: Recognition of these factors associated with the success of quit smoking status is beneficial to improve the service of “Quit Smoking Clinic” as well as to promote an accessible smoking cessation support for smokers in the district. Reinforcement of tobacco control policies in Malaysia is imperative to encourage more smokers to quit smoking in the country.


Keywords: Associated factors, cessation, Malaysia, smoking, quit.

References

Institue for Public Health. National Health and Morbidity Survey 2019. Technical Report - Volume 1 Non-Communicable Diseases: Risk Factors and other Health Problems. 1st ed. Selangor: Ministry of Health Malaysia; 2019: 392.

Ministry of Health Malaysia. National Strategic Plan for Non-Communicable Disease NSP-NCD 2016-2025. Putrajaya: Non-Communicable Disease (NCD) Section Disease Control Division; 2016: 34.

Ministry of Health Malaysia. Guidelines on Stop Smoking Service in a Health Clinic. 1st ed. Putrajaya: Family Health Development Division; 2011: 32.

Ichsan B. Application of The Trans-Theoretical Model-Based Intervention on Smoking Behavior: A Systematic Review. Publikasi Ilmiah. 2020.

Papadakis S, Anastasaki M, Papadakaki M, Antonopoulou Μ, Chliveros C, Daskalaki C, et al. Very brief advice’ (VBA) on smoking in family practice: a qualitative evaluation of the tobacco user’s perspective. BMC Family Practice. 2020; 21(1): 121. DOI: https://doi.org/10.1186/s12875-020-01195-w

HA AY, Ng C, Rusdi A. Validation of the Malay version of Fagerstrom test for nicotine dependence (FTND-M) among a group of male staffs in a University Hospital. Malaysian Journal of Psychiatry. 2011; 20(1).

Ahmad Zamzuri MAI, Kamarudin S, Ariffin A, Ibrahim AA, Othman M, Johari A, et al. Rate of smoking cessation and factors associated with successful quit smoking in Seremban District of Malaysia. Clinical Epidemiology and Global Health. 2021; 12: 100862. DOI: https://doi.org/10.1016/j.cegh.2021.100862

Eum YH, Kim HJ, Bak S, Lee S-H, Kim J, Park SH, et al. Factors related to the success of smoking cessation: A retrospective cohort study in Korea. Tobacco Induced Diseases. 2022; 20(February): 1-10. DOI: https://doi.org/10.18332/tid/144272

Fai SC, Yen GK, Malik N. Quit rates at 6 months in a pharmacist-led smoking cessation service in Malaysia. Can Pharm J (Ott). 2016; 149(5): 303-12. DOI: https://doi.org/10.1177/1715163516662894

Kim Y, Cho WK. Factors Associated with Successful Smoking Cessation in Korean Adult Males: Findings from a National Survey. Iran J Public Health. 2014; 43(11): 1486-96.

Lim KH, Heng PP, Nik Mohamed MH, Teh CH, Mohd Yusoff MF, Ling JMY, et al. Prevalence and Factors Associated with Attempts to Quit and Smoking Cessation in Malaysia. Asia Pacific Journal of Public Health. 2019; 31(7_suppl): 22S-31S. DOI: https://doi.org/10.1177/1010539519874944

Martins RS, Junaid MU, Khan MS, Aziz N, Fazal ZZ, Umoodi M, et al. Factors motivating smoking cessation: a cross-sectional study in a lower-middle-income country. BMC Public Health. 2021; 21(1): 1419. DOI: https://doi.org/10.1186/s12889-021-11477-2

Al Thani M, Leventakou V, Sofroniou A, Butt HI, Hakim IA, Thomson C, et al. Factors associated with baseline smoking self-efficacy among male Qatari residents enrolled in a quit smoking study. PloS One. 2022; 17(1): e0263306. DOI: https://doi.org/10.1371/journal.pone.0263306

Hu Y, Xie J, Chang X, Chen J, Wang W, Zhang L, et al. Characteristics and Predictors of Abstinence Among Smokers of a Smoking Cessation Clinic in Hunan China. Frontiers in Public Health. 2021; 9: 228. DOI: https://doi.org/10.3389/fpubh.2021.615817

Lee C-W, Kahende J. Factors associated with successful smoking cessation in the United States, 2000. American Journal of Public Health. 2007; 97(8): 1503-9. DOI: https://doi.org/10.2105/AJPH.2005.083527

Lesueur FE-K, Bolze C, Melchior M. Factors associated with successful vs. unsuccessful smoking cessation: Data from a nationally representative study. Addictive Behaviors. 2018; 80: 110-5. DOI: https://doi.org/10.1016/j.addbeh.2018.01.016

Walker NJ, Van Woerden HC, Kiparoglou V, Yang Y, Robinson H, Croghan E. Gender difference and effect of pharmacotherapy: findings from a smoking cessation service. BMC Public Health. 2016; 16(1): 1-8. DOI: https://doi.org/10.1186/s12889-016-3672-y

Chinwong D, Mookmanee N, Chongpornchai J, Chinwong S. A comparison of gender differences in smoking behaviors, intention to quit, and nicotine dependence among Thai university students. Journal of Addiction. 2018; 2018. DOI: https://doi.org/10.1155/2018/8081670

Sadarang RAI. Factors Associated with Quitting Smoking in Indonesia. Journal of Preventive Medicine and Public Health. 2021; 54(2): 137. DOI: https://doi.org/10.3961/jpmph.20.293

Luo T, Li M, Williams D, Fritz J, Phillippi S, Yu Q, et al. Urban and rural disparities in a WeChat-based smoking cessation intervention among Chinese smokers. International Journal of Environmental Research and Public Health. 2021; 18(13): 6731. DOI: https://doi.org/10.3390/ijerph18136731

Northridge ME, Vallone D, Xiao H, Green M, Blackwood JW, Kemper SE, et al. The importance of location for tobacco cessation: Rural–urban disparities in quit success in underserved West Virginia counties. The Journal of Rural Health. 2008; 24(2): 106-15. DOI: https://doi.org/10.1111/j.1748-0361.2008.00146.x

Aryanpur M, Masjedi MR, Mortaz E, Hosseini M, Jamaati H, Tabarsi P, et al. Intention to Quit Smoking and Associated Factors in Smokers Newly Diagnosed with Pulmonary Tuberculosis. Tanaffos. 2016; 15(1): 17-24.

Rojewski AM, Baldassarri S, Cooperman NA, Gritz ER, Leone FT, Piper ME, et al. Exploring Issues of Comorbid Conditions in People Who Smoke. Nicotine & Tobacco Research: Official Journal of The Society for Research on Nicotine And Tobacco. 2016; 18(8): 1684-96. DOI: https://doi.org/10.1093/ntr/ntw016

Yang JJ, Song M, Yoon H-S, Lee H-W, Lee Y, Lee S-A, et al. What are the major determinants in the success of smoking cessation: results from the health examinees study. PloS One. 2015; 10(12): e0143303. DOI: https://doi.org/10.1371/journal.pone.0143303

Taniguchi C, Tanaka H, Saka H, Oze I, Tachibana K, Nozaki Y, et al. Cognitive, behavioural and psychosocial factors associated with successful and maintained quit smoking status among patients who received smoking cessation intervention with nurses’ counselling. Journal of Advanced Nursing. 2017; 73(7): 1681-95. DOI: https://doi.org/10.1111/jan.13258

Jianvitayakij S, Panpakdee O, Malathum P, Duffy SA, Viwatwongkasem C. Factors influencing smoking cessation behavior among Thai male smokers with hypertension. Pacific Rim International Journal of Nursing Research. 2014; 18(2): 100-10.

Huang W-H, Hsu H-Y, Chang BC-C, Chang F-C. Factors Correlated with Success Rate of Outpatient Smoking Cessation Services in Taiwan. International Journal of Environmental Research and Public Health. 2018; 15(6): 1218. DOI: https://doi.org/10.3390/ijerph15061218

Rigotti NA, Aronson MD, Kathuria H, Kunins L. Pharmacotherapy for smoking cessation in adults 2022. [Internet] 2022 [updated 2022 April 12; cited 2022 June 15]; Available from: https://www.uptodate.com/contents/pharmacotherapy-for-smoking-cessation-in-adults.

Moore D, Aveyard P, Connock M, Wang D, Fry-Smith A, Barton P. Effectiveness and safety of nicotine replacement therapy assisted reduction to stop smoking: systematic review and meta-analysis. BMJ. 2009; 338: b1024. DOI: https://doi.org/10.1136/bmj.b1024

Ebbert JO, Hughes JR, West RJ, Rennard SI, Russ C, McRae TD, et al. Effect of varenicline on smoking cessation through smoking reduction: a randomized clinical trial. JAMA. 2015; 313(7): 687-94. DOI: https://doi.org/10.1001/jama.2015.280

Lancaster T, Stead LF. Individual behavioural counselling for smoking cessation. The Cochrane database of systematic reviews. 2017; 3(3): CD001292-CD. DOI: https://doi.org/10.1002/14651858.CD001292.pub3

Gometz ED. Health effects of smoking and the benefits of quitting. AMA Journal of Ethics. 2011; 13(1): 31-5. Ferguson J, Bauld L, Chesterman J, Judge K. The English smoking treatment services: one-year outcomes. Addiction. 2005; 100 Suppl 2: 59-69. DOI: https://doi.org/10.1111/j.1360-0443.2005.01028.x

Bauld L, Bell K, McCullough L, Richardson L, Greaves L. The effectiveness of NHS smoking cessation services: a systematic review. Journal of Public Health. 2009; 32(1): 71-82. DOI: https://doi.org/10.1093/pubmed/fdp074

Niccoli T, Partridge L. Ageing as a risk factor for disease. Current Biology. 2012; 22(17): 741-52. DOI: https://doi.org/10.1016/j.cub.2012.07.024

Abdullah ASM, Ho L-M, Kwan YH, Cheung WL, McGhee SM, Chan WH. Promoting Smoking Cessation Among the Elderly:What Are the Predictors of Intention to Quit and Successful Quitting? Journal of Aging and Health. 2006; 18(4): 552-64. DOI: https://doi.org/10.1177/0898264305281104

Park S, Lee JY, Song TM, Cho SI. Age-associated changes in nicotine dependence. Public Health. 2012; 126(6): 482-9. DOI: https://doi.org/10.1016/j.puhe.2012.02.007

Messer K, Trinidad DR, Al-Delaimy WK, Pierce JP. Smoking cessation rates in the United States: a comparison of young adult and older smokers. Am J Public Health. 2008; 98(2): 317-22. DOI: https://doi.org/10.2105/AJPH.2007.112060

Usman S, Notoadmodjo S, Rochadi K, Zuska F. Changing Smoking Behavior of Staff at Dr. Zainoel Abidin Provincial General Hospital, Banda Aceh. Advances in Public Health. 2014; 2014: 316274. DOI: https://doi.org/10.1155/2014/316274

Cabrita BMO, Galego M-A, Fernandes A-L, Dias S, Correia S, Simão P, et al. Follow-up loss in smoking cessation consultation: can we predict and prevent it? J Thorac Dis. 2021; 13(4): 2331-8. DOI: https://doi.org/10.21037/jtd-20-1832

Wu L, He Y, Jiang B, Zuo F, Liu Q, Zhang L, et al. Effectiveness of additional follow-up telephone counseling in a smoking cessation clinic in Beijing and predictors of quitting among Chinese male smokers. BMC Public Health. 2016; 16(1): 63. DOI: https://doi.org/10.1186/s12889-016-2718-5

Cahill K, Lindson‐Hawley N, Thomas KH, Fanshawe TR, Lancaster T. Nicotine receptor partial agonists for smoking cessation. Cochrane Database of Systematic Reviews. 2016(5). DOI: https://doi.org/10.1002/14651858.CD006103.pub7

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